Laserfiche WebLink
<br />88-104849 <br /> <br />WHEN THIS COpy CARRIES THE RAISED SEAL OF THE NEBRASKA STATE <br />DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO..~;~~~R~'COPY <br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DE~~:.OFIJ!Et>LTH <br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEG~:DE1'9st.~~Rr<fq~."1 <br />VITAL RECORDS. . .... s..~: .:.:.r- 1,'0)'\ .... t;J.}) ',' <br />il/....... ....., <br />I!t!i" : J4S~~.A~~ f <br />t".,.~,.~,,~~... <br />STmn;: -::t~~BR:: Bi~c'rOR <br />\ 1O:.c:'.c. ....,.... ,'~. .... <br />BUREAU OF'il.I[rAt af~'I:rsTICS <br />,.\........_M. <br /> <br />DATE OF ISSUANCE <br />JUL 2 71988 <br /> <br />LINCOLN, NEBRASKA <br /> <br /> <br />STATE Of "OllASIlA-DlPMTllOO OF HEALTH <br />IUIlUU OF mAL STAnsncS <br />CERTIFICATE OF DEATH. <br /> <br />-HAM' <br /> <br />Mildred Surrell <br />INfQlMANT - HAIM -,nArION5H" -MAILING ...DOIUS (IftIU DI U.D. NQ.. CI~'1sWrr- "AU, "PI <br />,~ry Ann Oldham-Wife-1729 St. Paul Rd.-Grand!s!and, NE. <br />cIMIno 01 C......tOll- HAMI lOCAttOH CITY 01 fOWN STAtI! <br />20<. Grand Island Ceme tery 2lW. Grand Island, NE. <br />'UNllAl HOMI- HAM' AHD AD~ns .'fIIlf 011.' D NO.. on 0I1'OWH. nAlI. II" <br />~fel-Butler-Geddes 1123 W. 2nd, Grand Island, NE. 68BOI <br />AN''''. ,. Yr.1 . 0 ATN <br /> <br />ill ;~;""'NCI."" _""'.....'...., <br />M Aii f t~.. 0.,. T. , <br />Jla o.....................~ ..............1.. ..,.,,,,..... ..n"..... <br />:B:. ..............................-........... <br />l,I U..'S1........r~l.. <br />UNfY AnOtN T)' ,,. .. "IMI <br />Dale Kemmerer M,D, St. Francis Medical Center <br /> <br /> <br />: ............,..--... <br />i O'vLt ~ duo/' <br />: I___~_......."" <br /> <br />~ ..................-........... <br /> <br />:Ne.,~. <br />. liNT'. OHI' 0104' (AU "I UH, ,,,. r." ltd, .4HO (ell <br />'r.: SuJJ~ ....A.o.c. de.. f-t... <br />DUll0,o.ASA I lOt, <br /> <br />... <br />OUI 10, 0. AS A CONSlQUIHCI OP. <br /> <br />'" <br />.... <br />. \'\0....( <br /> <br /> <br />] <br /> <br />- <br />..un.... WOla <br />,....."....N.J <br />